Orange County NC Website
DocuSign Envelope ID: E7784BE7- 82AF- 4AF1- AA11- 944D2300E7BD <br />ORANGE COUNTY — DEPARTMENT USE ONLY <br />Department <br />Party/Vendor Name: KidSCope: Chapel Hill Training Outreach Project, Inc. Party/Vendor Contact Person: Ter <br />David Contact Phone: 919 - 490 -5577 Party/Vendor Address: 800 Eastowne Dr., Suite 105 City Chapel Hill State: <br />NC Zip: 27514 Department: Finance & Administrative Services Amount: 75000 Purpose: FY 2018 -19 Outside <br />Agency /Human Services Performance Agreeement Budget Code(s): 10495050- 710015 Vendor # 800060 (N /A if <br />new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one) New ® Renewal ❑ <br />Amendment ❑ Effective Date 7/1/2018 Approved by Board Yes® No❑ Agenda Date: 6/19/2018 <br />This agreement is approved as to technical for ©ocu5igned by: <br />Department Director's Signature Date: 8/17/2018 <br />704E5181ACC1409... <br />Information Technologies <br />(Applicable only to hardware /software purchases or related services) This agreement has been reviewed and is <br />approved as to information technology content and specifications: <br />Office of the Chief Information Officer <br />Risk Management <br />Date: <br />This agreement is approved for sufficiency of insi DocuSigned by: ;ifications, and requirements: <br />aUs& �,,6Vln.tf{�6 8/20/2018 <br />Office of the Risk Management Officer 7FDCF91 76800498... Date: <br />Financial Services <br />This instrument has been pre - audited in the mann, Docusigned by: 3overnment Budget and Fiscal Control Act: <br />8/17/2018 <br />Office of the Chief Financial Officer 7NS,aCC,4os... Date: <br />Legal Services <br />This agreement is approved as to legal form and s DocuSigned by: <br />�_ 8/20/2018 <br />Office of the County Attorney Date: <br />-4035CB8304CA4M... <br />Clerk to the Board <br />Received for record retention: <br />All Docusign contracts must be copied to Sherri Ingersoll upon completion @ sin erg sollgoran eg countync.gov <br />The following signature block is for hard copies only and is not required for Docusign contracts: <br />Office of the Clerk to the Board Date: <br />(KidSCope: Chapel Hill Training Outreach Project, Inc.) <br />Orange County Outside Agency Performance Agreement Page 6 of 9 <br />Rev. 7118 <br />